Intensive Home-Based Treatment Therapist

CounselorIncludes callFull-Time

Listed compensation

$65k-$68k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.

Posted 7mo ago

Job Description

Intensive Home-Based Treatment (IHBT) Therapist

Salary Range: $65,000+

Location: Greater Cincinnati Area

About the Role

Best Point Education & Behavioral Health is seeking a compassionate and skilled Intensive Home-Based Treatment (IHBT) Therapist to provide therapeutic services directly in the homes and communities of children, adolescents, and families. In this role, you’ll manage a shared caseload of 8–12 clients, working closely with an IHBT Care Coordinator to deliver intensive, evidence-based interventions to families facing significant mental health challenges.

This position is ideal for clinicians who thrive in flexible, community-based environments and value building deep, meaningful relationships with clients and families.

What You’LL Do

Direct Client Services

  • Conduct comprehensive assessments to identify client and family strengths, needs, and challenges.
  • Gather information on family dynamics, living situations, and support systems for treatment planning.
  • Deliver intensive home- and community-based therapeutic interventions.
  • Utilize evidence-based modalities such as family therapy, CBT, and trauma-informed care.
  • Participate in the IHBT on-call rotation to provide telephonic and in-person crisis intervention.
  • Coordinate with crisis teams—including hotlines, mobile crisis units, and psychiatric emergency services—during emergencies.

Administration

  • Complete all required documentation accurately and within departmental timelines (e. g., progress notes, service plans, discharge summaries).

Collaboration

  • Work closely with case managers, psychiatrists, and other internal/external providers supporting the client.
  • Advocate for clients by consulting with community resources and interdisciplinary teams.
  • Attend required agency and departmental meetings.

Quality & Fidelity

  • Provide services aligned with IHBT fidelity standards, including:
  • Treatment intensity
  • Flexible scheduling & service locations
  • Crisis response
  • Safety planning
  • Trauma-informed practices
  • Caseload expectations
  • Continuing care planning
  • Participate in training, supervision, and professional development to maintain licensure and IHBT compliance.

Fiscal Responsibility

  • Ensure service delivery and documentation meet departmental fiscal requirements.

Other Duties

  • Perform additional responsibilities as assigned.

What You Bring

Education & Licensure

  • Master’s degree in counseling, social work, marriage/family therapy, or a related field.
  • Ohio licensure required: LPC, LSW, LMFT (preferred: LISW, LPCC, IMFT).

Experience

  • At least one year of clinical experience serving children, adolescents, and families involved with child welfare or juvenile justice.
  • Experience in mental health settings; home-based/community-based experience strongly preferred.

Skills & Competencies

  • Strong assessment and clinical formulation skills.
  • Knowledge of evidence-based treatment models and trauma-informed practices.
  • Excellent communication and interpersonal skills.
  • Ability to work effectively with diverse populations.
  • Adaptability and comfort working in client homes and community settings.
  • Valid driver's license and reliable transportation required.

Work Environment

The IHBT therapist will primarily work in clients' homes and community settings, providing services where clients feel most comfortable. The role will involve traveling to various locations within the designated service area. The therapist will collaborate closely with clients, families, and interdisciplinary teams to ensure comprehensive and integrated care. Flexible scheduling may be required to accommodate clients' needs, including evening and weekend hours.

Physical Demands: The physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to: Regularly required to sit, stand, walk, bend, and lift to 50 pounds. Ability to operate a motor vehicle safely in changing weather conditions required.

Our Culture

Best Point Education & Behavioral Health is Greater Cincinnati’s most prolific non-profit specializing in education, behavioral and therapeutic health services and autism services for vulnerable, at-risk youth, their families, and caregivers.

Best Point Education & Behavioral Health is proud to embrace our ideals of an equal opportunity workplace by actions as well as our words. We lead our community with respect and tolerance, internally and externally, and we expect our employees to embrace this ideal and express it in their day-to-day interactions.

All qualified applicants will receive consideration for employment without regard to, and will not be discriminated against, based on age, race, gender, color, religion, national origin, sexual orientation, gender identity, veteran status, disability or any other protected category.

Key Responsibilities

The therapist will conduct comprehensive assessments, deliver intensive home- and community-based therapeutic interventions using modalities like family therapy and CBT, and participate in an on-call rotation for crisis intervention. Responsibilities also include coordinating with crisis teams and completing all required administrative documentation accurately and on time.

Requirements

Candidates must possess a Master's degree in a related field and hold Ohio licensure (LPC, LSW, LMFT preferred). A minimum of one year of clinical experience serving children, adolescents, and families involved with child welfare or juvenile justice is required, along with reliable transportation.

Qualifications

Education
Master's degree (postgraduate degree)

Counselor Career Context

Best Point Education & Behavioral Health ranks #11 of 19 employers hiring Counselor on WeekdayDoc by average advertised pay.

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 46% are remote, 34% have no call, 68% require no weekends.

The cost-of-living index for Ohio is 92.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$67k midpoint carries the purchasing power of roughly $72k in an average-cost state. 61.3% of Ohio clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

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Salary Distribution33 jobs · 25 employers

14
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Annual compensation range

Benefits & Perks31 jobs · 25 employers

401k / retirement match
90%
Sign-on bonus
45%
CME allowance
42%
Loan repayment
29%
PSLF eligible
16%

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Work-life snapshot

median 6.1this job 4.8
Better work-life than 40% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 8,033 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in Cincinnati

Typical 3-bedroom home value
$243k≈ 3.7× annual pay
Typical market rent
$1,414/mo≈ 26% of gross pay
Residents’ average commute
22 min
Metro price indexU.S. average = 100
95.4
State income tax
Up to 4%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Cincinnati, OH-KY-IN metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.